| New Vision Behavioral Health Services Inc | |
|
5718 Harford Rd Suite 103 Baltimore MD 21214-2237 | |
| (410) 254-4343 | |
| (410) 254-4342 |
| Full Name | New Vision Behavioral Health Services Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5718 Harford Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Carmen Tyndale- Yoder (CEO) |
| Authorized Official Contact | 4102544343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Vision Behavioral Health Services Inc 5718 Harford Rd Suite 103 Baltimore MD 21214-2237 Ph: (410) 254-4343 | New Vision Behavioral Health Services Inc 5718 Harford Rd Suite 103 Baltimore MD 21214-2237 Ph: (410) 254-4343 |
| NPI Number | 1497917926 |
|---|---|
| Provider Enumeration Date | 06/26/2008 |
| Last Update Date | 06/26/2008 |
| Medicare PECOS PAC ID | 6002079787 |
|---|---|
| Medicare Enrollment ID | O20220208000734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497917926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Mahmoud N Malayeri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639166358 PECOS PAC ID: 6002876562 Enrollment ID: I20041020000185 |
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